Temporal Kemik K›r›klar›na Bal› Fasiyal Paralizilerde Cerrahi Tedavi ve Sonuçlar

Materials and Methods: Twenty-seven cases, who had an ope- ration due to facial paralysis caused by temporal bone fractu- res, were reviewed retrospectively. Transmastoid approach was applied in 14 (52%) of these cases, transtemporal supra- labyrinthine approach was applied in 10 (37%) cases and translabyrinthine was applied in 3 (11%) cases. The operation indication was determined with clinical examination, radiologic findings and electrodiagnostic tests. Results: There was interruption in the nerve in 9 (33.3%) of ca- ses, bone fragments impinging on the nerve in 8 (29.6%) of cases and perineural hematoma in 10 (37%) of cases. Edema was found in the nerve of all the cases who had an operation within a month after the trauma. The site of the injury in all transverse fractures was in the labyrinthine segment. In longi- tudinal fractures neural injury in 90.4% of cases was situated in the perigeniculate region. Conclusion: The results were better in early operated cases and in the transtemporal supralabyrinthine approach.